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06-09-2024 | Diastasis Recti | How-I-Do-It

Videoendoscopic assisted Rives-Stoppa technique. “Treatment for epigastric and umbilical hernias with diastasis recti”

Authors: Osvaldo Santilli, Hernán Santilli, Nicolás Nardelli

Published in: Hernia

Abstract

Purpose

There are many surgical techniques for ventral hernias and diastasis recti, both conventional or video-endoscopic, with or without mesh placement, detailed in the literature. Using some details of the techniques proposed by Wolfgang Reinpold (Mini- or Less Open Sublay Operation, MILOS) and Federico Fiori (Totally Endoscopic Sublay Anterior Repair, TESAR) we found modifications that allowed repairing and reinforcement of the posterior fascia with a retro-muscular mesh and achieve primary fascial closure by minimally umbilical access and searching for the best anatomical, functional, and aesthetic results.

Method

Describe the surgical technique step by step and analyze 629 surgical treatments. The cohort comprises the period January 2018 to January 2023. Our Database registered 318 men and 311 women who underwent video endoscopicassisted Rives-Stoppa techniques to treat umbilical and epigastric hernias with diastasis

Results

All patients were treated on an outpatient basis and discharged home on the same day. The most frequent complications were seromas with conservative management. Other complications recorded were omphalitis in 6 patients, and three patients presented hematomas, one of whom performed surgical evacuation. There were ten patients with recurrences.

Conclusion

These hybrid approaches provide the advantages of mini-invasive techniques with a lower rate of complications and a high standard of quality of life, providing anatomical, functional, and aesthetic benefits.

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Title: Videoendoscopic assisted Rives-Stoppa technique. “Treatment for epigastric and umbilical hernias with diastasis recti”
Authors: Osvaldo Santilli
Hernán Santilli
Nicolás Nardelli
Publication date: 06-09-2024
Publisher: Springer Paris
Keywords: Diastasis Recti
Seroma
Published in: Hernia
Print ISSN: 1265-4906
Electronic ISSN: 1248-9204
DOI: https://doi.org/10.1007/s10029-024-03151-4

Mastering chronic pancreatitis pain: A multidisciplinary approach and practical solutions

Webinar | 06-02-2024 | 20:00 (CET)

Severe pain is the most common symptom of chronic pancreatitis. In this webinar, experts share the latest insights in pain management for chronic pancreatitis patients. Experts from a range of disciplines discuss pertinent cases and provide practical suggestions for use within clinical practice.

Keynote webinar | Spotlight on modern management of frailty

Springer Medicine

Videoendoscopic assisted Rives-Stoppa technique. “Treatment for epigastric and umbilical hernias with diastasis recti”

Abstract

Purpose

Method

Results

Conclusion

Mastering chronic pancreatitis pain: A multidisciplinary approach and practical solutions

Keynote webinar | Spotlight on modern management of frailty

Springer Medicine

Abstract

Purpose

Method

Results

Conclusion

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Mastering chronic pancreatitis pain: A multidisciplinary approach and practical solutions